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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588:7904 <br /> <br /> I am a registered buitder OR the authorized representative SIGNATURE OF APPLICANT; ....................... <br /> of ~ registered builder, - <br /> Tl~e work wiJl be performed by a registered builder. <br /> Other <br /> <br /> this document, <br /> DATE: :L0/21/~3 TtHE: 11:17:18 <br /> <br /> ~AV~DSON, <br /> JOHN <br /> 4~818-~88 RESIDENTIAL <br /> <br /> ~ 1892~ MARTIN LN ~ HE -~' <br />~ AURORA OR B~82 ~-~i%; ~ ~ .......... -'T':~- 5~O~X~Y'[~b~ <br /> MARION COJNT~.~ NO <br /> us~ OF mU~[O~N~; .... ' ....... ;~--6~"~[~E~E'~&"'"~.4 <br /> <br /> WALTER B BOYLES <br /> 547 SE 7TN PORTLANO~ ~72~15= ~ITE NUMBER: ~ <br /> PHONE: 253-2847 -- : VALUATION: <br /> <br /> TYPE: ON-SiTE SEWAEE WATER SUPPLY <br /> <br />PERNZT OR APPLICATION NO-' <br /> <br />CONTRACTORv NO~ <br />DAVIDSON~ 30HN <br />WALTER B BOYLES <br />547 SE 7TH PORTLAND, <br />PHONE: 25:~-2847 <br /> <br /> ITEH <br />SITE EVALUATION~ EA. <br /> <br />PAYEE: <br /> RECEIVED BY: PB <br /> <br />SEE ATTACHED DOCUMENT <br /> <br />TEST HOLES READY: 9-20~93 <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN PIELD LINES: <br />SEPTIC TANK PUMPED: <br /> <br />QUANTITY AMOUNT <br /> $~.~.,~.00 <br /> <br />:S <br /> <br /> RECEIPT NO: <br /> TYPE: CHECK <br />ii~YSTEM. <br /> <br />$225.00 <br />$225.00 <br /> $0.00 <br /> <br />$0. e0 <br /> <br />0 <br /> <br /> NOTE: THIS DOES NOT I;~A ,~ <br /> )N.~THIS PAI~CEL. PLANNING Al,II) <br />ONSTRUCTION PERMITS M[J$~.BE OB.TAII,i.,ED~E[~E ~U~DING ~R ~EPTIC INSTALLATION BEGINS. <br /> <br /> REMARKS: SITE EVAL APPROVED FOR STD,SYS <br /> <br /> ~ARION COUNTY BUIID]'NG OFEICiA~ / ~ ' <br /> DONALDI E. WOODLEY, ~ . ..... _ .............. ~ ...................... ~ <br /> <br /> <br />